Nasal kusanganiswa: zvinokonzera, kuongororwa, tsika uye tsika dzevanhu

Nasal kupindirana manzwiro ekushayikwa kwemhepo, umo zvisingabviri kugadzirisa zvizere nemumwe / mazamu maviri. Kushaya kufema kwekupisa kwepasipo kunofambidzana nemasuru, kurwadziwa uye kuchenesa mukati mezvivi zvinosuruvara, nzeve dzisina maturo, kupera kwekunzwa kunhuhwirira, kupopota, kunhuhwirira kwakashata uye kubuda kubva mumhino. Pamusana pekugara kweokisijeni yenzara yemuviri, kusagadzikana kusingaperi kwekufema kwepanyika kunobatsira kukurudzirwa kwezvinetso zvakakomba - otitis, sinusitis, zvirwere zvevascular and muscle cardiac, tonsillitis, zvirwere zvezasi (mapapu, bronchi) uye kumusoro (trachea, larynx) gwara rekupumha. Sarudza chikonzero chaiicho chekusvibiswa kwemazi uye kuisa zvakakodzera kurapwa kunogona kungoita chiremba-otolaryngologist mushure mekunyatsoongorora uye kuongororwa kweamamnesis. Kuzvishandura, kazhinji kunowanikwa mukutonga kusina kudzora kwevasoconstricting madonhwe, kunozara nekufambira mberi kwemukatial hyperplasia, iyo inorapwa chete nekuvhiya.

Nasal kusanganiswa - zvinokonzera:

• zvirwere zvisingaperi zvepasanasal sinuses / pfumbu: mapundu, maxillary sinus cyst, sinusitis, allergenic rhinitis, vasomotor rhinitis, chronic rhinitis;
• zvirwere zvakanyanya zvinopararira: acute sinusitis, yakawanda inopararira rhinitis;
• rhinitis yevakadzi vane pamuviri. Inobudirira mumutsara wechipiri pamusana pekumhanya kwehommonal, inoratidzwa nemucherechedzo yeputi, kubatana, kuzvimba;
• matomical disorders: kuputsika kwemhino, kuputika / kuputika kwemanal septum, kukanganisa kwekunze kwemhino;

• abscess (furuncle) in anterior nasal segment;
• neoplasm yezvakanaka kana yakashata;
• pathology ye nasopharynx: adenoids, tumors;
• miviri yedzimwe nyika mumasanganisi eparanasal / mhino.

Nasal kusanganiswa - zviratidzo zvekuongorora

Chimiro chezviratidzo zvinokonzera mamwe matambudziko pakuonekwa kwezvirwere zvemukati wemasasa uye zvinoreva kusiyanisa kuongorora, kusanganisira:

• kuunganidza anamnesis uye kuongororwa kwezvido zvemurwere (iyo yakareba zvakadini kana imwechete yakagadzikana yakazviratidza pachayo, kuti murwere aibatwa sei, zvisinei nemigumisiro yacho);
• kutarisa kuonekwa (kuvapo / kusavapo kwezviratidzo zvekutambudzika);
• rhinoscopy. Inogona kuona mucosal edema, kutomical defect, tumor, kubudiswa mumapapiro;

• endoscopy. Inopa mukana wekutsvaira kupisa mukati mezvivi zvepanasanasal, maooplasms asingaoneki mu rhinoscopy;
• kombiyuta tomography, radiography / ultrasound yezvivi zveparanasal.

Nasal kusanganiswa - kurapwa

Nzira yekurapa inobva pane izvo zvinokonzera, iyo yakakonzera kuoma kwekufemerwa kwemhepo. Mishonga yemazuva ano ine nzira dzakawanda dzinobudirira dzinobvumira kukurumidza kuporesa nezzhennost uye kudzorera kufema kufema, chinhu chikuru - kusarudza mumwe munhu kuronga kurapwa, uchifunga nezvehu nuances uye zvikamu zvechirwere chechipatara chechirwere.

1. Kushungurudzika mune zvigadziro zvemukati. Chikafu, chinoshandiswa muhupenyu hwe septum, hypertrophy ye nasal concha - zviratidzo zvekurapa. Basa racho rinoreva mapurasitiki, rinoitwa endonasally, iro rinosanganisa maitiro pasi. Nguva yekutengesa maminitsi makumi matatu kusvika ku50, inogona kuitwa pasi peaneshesia.

2. Allergic rhinitis. Inokura pamusana pekuendeswa kwezvimwe zvipembenene kusvika mumusasa wemumvura, unozivikanwa nekupfeka, kuchenesa, paroxysmal kupepera. Zvinokurudzirwa kuti zvibvise zvachose (kana zvichibvira) kushamwaridzana kwepedyo ne-allergen - izvi zvichabatsira kuderedza zviratidzo uye kudzivisa kuputika, izvo zvinowedzera kunzwisisika kutsamwa.

   Kurapa kwekubatanidza mune allergenic rhinitis:

   • antihistamines. Systemic (Cetirizine, Astemizol, Fexofenadine) nokukurumidza inoderedza kusangana kwemvura, kubvisa kuchenesa uye kunya. Kana zviratidzo zvechirwere izvi zvisingakwanisi kumhino, vapikisi vemo veH1-histamine receptors (Levocabastine, Azelastine) vanobudirira. Contraindications: lactation period, pamuviri;
   • local corticosteroids (Fluticasone, mometasone, Triamcinolone acetonide). Ruregerero rwemamiriro acho anowanikwa mushure memazuva maviri ekubvumirwa, kwekuvandudzwa kwechigarire, mazuva 7-10 anodiwa. Kuiswa kwe-nasal corticosteroids kunotanga nehuwandu hwemazi, zvishoma nezvishoma kuideredza iyo sezvaunodzorera. Nekushungurudzika kwakanyanya kwemvura, kutungamirirwa kwemadonetetoneone kunonzwisiswa muvhiki yekutanga yekurapa;

   • anticholinergics (Ipatropium bromide). Vane simba rinorwisa anticholinergic uye vasingatauri maitiro ehurumende, vanoratidzwa kune varwere vane mvura yakawanda (mucous yakaparadzana kubva mumhino), zvinopesana nevarwere vane prostatic hypertrophy ne glaucoma;
   • immunotherapy. Icho chirevo chekurapa chiri mu hypodermic injections yekuwedzera kweiyo yeiyo yakawanikwa inenge isati yasvika mushure mekugadzirisa kwekudzivirira kwema immunological. Izvo zvakarongwa: masvondo ejovhesi - mwedzi mishonga, inogara kwemakore 2-3. Immunotherapy inoshandiswa mune zvipatara zvinokonzerwa nekugadzirisa zvigadziriswa nekuda kwekuchengetedzwa kwevanaphylaxis uye kuipa kwekutarisa;

   • kurapwa kurapwa. Chiratidzo: hutachiona hwakakomba hwezvivi zveparanasal, hypertrophy isingagadziriswi yeanal concha, hyperplasia ye-pharyngeal tonsil, inonyanya kukanganisa kufema kwepasi.
3. Vasomotor (nonallergic) rhinitis. Pamwoyo wechirwere uku kukanganiswa kwehutachiona hwehutachiona hwehutachiona hunokonzerwa nehutachiona hwehutachiona hwehutachiona, kudhakwa kwewaini, kuputika kweutsi hwefodya, kuchinja kwechimbichimbi muhutambo hwemhepo inoputika kana kuti mishonga yemishonga (anti-inflammatory drugs, antidepressants, sedative). Zviratidzo zvisiri izvo zvinenge zvisingagadziriswi rhinitis ndezvimwe zvinopesana nezvikamu zvemanheru nechekurudyi zvemukati wechipfuva, kusavapo kwekuchenesa.

   Kurapa kwekubatana nevasomotor rhinitis:

   • kushambwa kwemazamu nean saline solutions ane anti-inflammatory and disinfecting properties;
   • Zvirwere zvinonzi corticosteroid hormones (Fliksonaze, Nazarel, Baconaz) nemakore akawanda (mwedzi kana kupfuura). Izvo zvinoratidzwa nepamusoro-soro system bioavailability uye nehutano hwekuchengeteka. Izvozvo zvinowedzera zvishoma nezvishoma, saka, kushandiswa kwakagadzikana kunokosha zvikuru panguva yekurapa;

   • sprays inobva ipratropium bromide (Ipravent, Atrovent). Inoratidzwa nekutonhora rhinitis, kuderedza huwandu hwekubuda kwemvura, kubvisa zerozhennost, kuvandudza mamiriro ezvinhu ose;
   • mishonga, ine vasoconstrictive effect (Efdrine, Naphthysine, Sanorin). Inoderedza kuvhara kwemucosa, kubuda, kusvetuka, kuderedza midziyo yemhepo, kuenzanisa zvinhu zvakakosha;
   • kubviswa kwechisimba ne novocaine / hydrocortisone;
   • acupuncture, physiotherapy, kurovedza muviri zvine mwero, kusiyana kwemvura.

Kana nzira dzakagadziriswa dzokurapa kwemazamu kusanganisa hazvibatsiri, kupindira kwepasi-kunotyisa-submucosal pasi osteochondhotomy, laser photodestruction kana kushandiswa kwema ultrasonic-inoitwa. Chinangwa chekuvhiya ndechekuparadza midziyo ye-submucosal yeanal concha, kuitira kuti irege kuwedzera nekuda kwekudzimba. Inzira yekurapwa inopindira inobva pane zvinoitwa nekliniki yevasomotor rhinitis, etiology, uye zvirwere zvinosanganiswa.

Matonho anobudirira mumhino nechisungo

Nasal kupindirana mune vanhu vakuru vanorapwa nemasese / mapapiritsi emapoka akasiyana-siyana (chiratidzo chechiratidzo).

1. Vasculature. Kurumidza kununura kusanganiswa, kudzorera kufema kwekufema kweputi, nekubvisa musoro uye kumhanya kwemhino. Kurapa kwenguva refu nevasoconstrictive zvinodhaka hazvibvumirwi nekuda kwehuwandu hwekuita mishonga-induced rhinitis, iyo yakaoma kurapa. Kukanganisa kukuru kwevasoconstricting madonhwe inguva pfupi yakaitika, chinosvibisa pamasero emakamuri e ciliary epithelium:
   • Kugadzirira zviito zvishoma (kusvika maawa matanhatu): Sanorin, Tizin, Naphthysine;

   • chiyero chechiito (kusvika maawa gumi): Galazolin, Orivin, Rhinostop;
   • kuita kwenguva refu (kusvika kumaawa gumi nemaviri): Nazol, Nazivin.
2. Anti-inflammatory (Isofra, Polidexa ne phenylephrine). Kugadzirisa kunogadzirisa kubatana kwechando uye kumasana. Uraya zvirwere-zvinokonzera zvirwere uye mabhakitiriya, kubvisa kubhururuka kwemukati, kubvisa kutuka, kukurudzira kupora.
3. Antiallergic (Vibrocil, Sanorin analgesin). Zvakanaka rubatsiro kubva kumasanganisvo emvura uye kuoma kwemukati wemvura.
4. Ne mafuta anokosha (Pinosol, Evkasept). Ita neutachiona mabhakitiriya / mavhairusi, usasvibiswa, nyorodzisazve kuchenesa mucous membrane, kubvisa stasis.

5. Ne corticosteroid hormones (Nazonex, Fliksonase). Ita zvinonzi anti-allergenic / anti-edematous effect, inoratidzwa nehupfumi hwenyama, inokonzerwa nehutachiona hweergenic rhinitis, sinusitis.
6. Saline solutions (Salin, Aqua Maris). Iine tsananguro yezvinhu uye sariti dzinokurudzira nzira dzekudzorera dzine chirwere chinopikisa.

Mishonga ine madonhwe emvura inokurudzirwa chete nekutaura kusina kusanganiswa kwemazamu kunokonzerwa nokuputika, uye kwete nekuunganidza kwepachivande. Usashandisa zvinodhaka zveboka iri kwemazuva anopfuura 7-10 kuti usapindwa muropa. Zvinyorwa zvinopesana nemashoko: inrophic rhinitis, glaucoma. Kurwisana kunobvumirana: kutakura, lactation, chirwere chepachivhakama, chirwere chepfungwa / vascular, yakawedzera utachiona hwebasa.

Nasal kusanganiswa pasina vasoconstrictive nasal madonhwe

Kurapa kwekudzivirira kwemvura kunosanganisira matanho maviri - sanation uye kugadziriswa kwemukati mucosa. Zvinokurudzirwa kutanga chirongwa chekuvhiringidza nzira. Tea dzine raspberries, mabhati anopisa, masardard plaster maitiro anoyevedza anovandudza ropa rinoiswa mumhino. Inhalation uye kudziya nezwizhennosti zvinofanira kuitwa nekuchenjerera. Kana pane zvirwere zvekufema, iwe unogona kuwedzera mamiriro acho ezvinhu. Imwe nzira yakakodzera kumadonzvo evasoconstrictive ndiyo mishonga yepopopotopi (Cinnabsin, Sinupret muchimiro che madonsi / dragees). Iyi mishonga inoratidzirwa nehuwandu hunopesana nekuvhiringidza uye inopesana nemamiriro ezvinhu, haina kupesana, izvo chete zvakaipa-zvinofanira kusarudzwa zvakakwana kune mumwe nomumwe, zvisinei hazvizokwanisi kufanotaura kubudirira kwehutano.

Nasal kusanganiswa nekufema maitiro

Kudzidzira kupfutidza kunobatsira kuti kuve nokufema kwemapemonari, kunatsiridza ropa rose, kuchenesa mapapiro uye maronchi, uye kubvisa mhino yakakosha.

1. Dambudziko rakaoma rokufema rinobatsira chero ipi zvayo ye rhinitis:

   • ita zvizere kupfuvura mumhino, kutanga kutenderera mudumbu, zvino - kuwedzera mhinzwa. Nechiratidzo che "nasal", kutanga kwezvose, kuderedza ivhu remuzamu, wechipiri - svika mudumbu;
   • Ita chifuva kufema: kurema kufema mukati memhino (chifu chinowedzera, chirwere chemudumbu). Panguva yekudzimara - pane zvinopesana;
   • kuita kufema kwepamuviri: kukurudzirwa kwenguva refu "kumeso", asi chirwere chinofanira kuputika.

2. Iyo yakaoma yakagadzirirwa kukurudzira kufema kwepanyika uye kubviswa kwekusangana:

   • kuparadzanisa makumbo ako kumativi, kupinda mumhino dzako, kusimudza maoko ako. Vachidzikisa zvishoma nezvishoma, vachizorora mumhino. Zvakakosha mune chikamu chekutanga chemuitiro wekukotamisa zvakasimba mu lumbar uye thoracic musana;
   • kuita mhepo, kuvhara mhino dzake nekudhonza mapepa ake mapepa - kuvhara, kuisa maoko ake patsoka dzake, kumira mberi - exhaling;

   • mhepo inokonzera mhepo mucosa: inzai makumbo enyu kumativi, simbisa muromo wako zvakasimba. Nekudaro, inhale mutsara wekurudyi / wekurudyi zvishoma nezvishoma sezvinobvira, uchidzvinyirira nyani yakasiyana neminwe yako.

Chirongwa chekugadzirisa kwemazamu kusanganisa

Inopa kucheneswa kwakakwana uye kuchinjwa kwemukati wose mucosa, zvisinei nokuti chii chinokonzera kupera kwemazamu. Kusvika iye zvino, kune nzira dzinoverengeka dzakachengeteka uye dzakagadzirisa kuisa kufema kumhepo kufema:

• kushamba maererano neProetz. Kuiswa kwemishonga yemishonga mune rimwe chinyorwa uye kuchiputira kubva kune imwe nekubatsira kwekugadzirwa kwemagetsi. Munguva yekugadzirisa, mhara dzemvura dzinobudiswa mabhakitiriya uye mavairasi, mucous membrane anoshambidzwa nemishonga yekugadzira mishonga, iyo inokurumidza kusunungura kusangana;
• electrophoresis. Nzira inotarisirwa kuendesa mishonga kumatumbu acho kuburikidza nekuita kwehuwandu hwezvino-madhiragi ions akaparadzana zvakafanana mune mucous membrane / ganda, nekukurumidza kupinda mukati mumiviri uye nhengo neropa rekuyerera, kubvisa kusagadzikana, kudzorera kufema kufema
• reflexotherapy. Kwete-mafirosikiti pamagariro ekugadzirwa kwezvinhu zvakasikwa uye nzvimbo dzakagadziriswa dziri panzvimbo yeganda, iyo ine simba rinoporesa.

Zvirwere zvevanhu zvekusvibiswa kweputi

Zvakanaka, kurapwa kwemazamu kusanganisa kunofanira kutanga nekushanyira otolaryngologist, uyo achaona chikonzero chechirwere uye kubatsira kubata mishonga inodikanwa. Kana pasina chido kana nguva yekushanyira chiremba, unogona kushandisa mapoka evanhu:

Dorosi kubva kumusana kuoma:

• tora juice itsva yebheet, aloe juice, yakasvibiswa mvura yakachena, fonganisa zvishandiso zvakaenzana. Mvura yakagamuchirwa yekuchera mumhino mbiri nhatu pazuva;
• kuti inopindira mumushonga wekasiki, shandisai imwe yepuniko yemafuta yemafuta, fonganisai zvakanaka, gadzirai maawa 10-12. Kushungurudza, shandisa semadonhwe emvura;
• gadzira mapurogiramu ari pakati, kabati, squeeze jisi, wedzera zvakafanana nemafuta emafuta (asina kufananidzwa). Zvakanaka kufambisa musanganiswa, kudonha mumhino imwe donho katatu pazuva.

Kurapa kwekudzivirirwa nekushandiswa kwevhu

Kushamwaridzana kunobatsira pakudzorerwa kwekusagadzikana kwekusateerera kwezvivi zvepasuo nemapumhi, zvinoshandisa mamiriro ezvinhu ose, kubvisa kukwana kwemhino. Basa rimwe nerimwe rinoda 0,5 makapu ezvisikwa zvakasvibirira ivhu: gadzira dope mu 250 milliliters emvura, kusanganisa, kupisa kusvika kumadigiri makumi matanhatu mumvura yekushambidza mvura, pamwe chete kugovera pamucheka weputika se "butterfly", yakabatanidzwa kumapapiro mune fomu inotonhora, ichengetedze kusvikira yakanyatsonaka .

Kurapa kwezvakagadzirwa neminiti chai

Brew ndiro yepuni yeminwe zuva rega rega ne 120-150 milliliters emvura, idya katatu pazuva pane tei. Mukuwedzera, kunwisa neminwe inokonzerwa nemucheno mumasasa kamwechete pazuva - nzira dzinoderedza kushushikana kwemucosa kune zvinowanikwa kunze.

Inhalation ye mbatatisi inopesana nekudzivirira

Birai mbatatisi musina kunaya mvura. Itai maitiro ekuputira kwemaminetsi gumi nemaminetsi nemakumi maviri nerimwe zuva rimwe nerimwe. Zvinokosha: panguva yekugadzirisa, iwe haugoni kufukidza musoro wako kuti usanyanya kuzvimba. Chikamu chemaitiro ekurapa mazuva 10-12, kana zvichidiwa, kudzokorora.

Kurapa kwekudzivirira ne chamomile kugeza

Tora kikapu chewakamera camomile maruva, udira mazana maviri emamiriyoni emvura anodha, tsunga 20-25 maminitsi. Penguva iyo nzira, dhonza mhino yemvura kwemasekondi 7-10. Ika mabhati maviri kavhiki, kuti uite maitiro asingapfuuri nemaminitsi mashanu.

Kudzivirirwa kwemazamu kusanganisa

• kugadzirisa vanobatana nevarwere vane kupora-utachiona hwezvirwere;
• kurapwa kwakakodzera kwezvirwere zvezeve, huro, mhuno;
• Kusabatanidzwa kwekupindira kwakanyanya mumumvuri wemvura, kukuvadzwa kumeso / mhino;
• kugadziriswa kwehuwandu hwemhepo inogara munzvimbo yekugara;
• Kugadziriswa kwezvakaipa mumamiriro emhuno;
• kuramba kunzvimbo dzakaipa, nguva dzose inofamba mumhepo itsva;
• kunamatira kumitemo yezvokudya zvinovaka muviri.

Kushambadzira kweNasal chirwere chinonyanya kukuvadza chimiro chemuviri uye kunoderedza hupenyu hwehupenyu hwakafanana nechirwere chemwoyo chinonzi ischemic kana kurwadziwa shure. Usatanga chirwere chacho, nguva dzose kubvisa zviratidzo ne vasoconstrictor madonhwe, pangozi yekuwana zvinetso zvakakomba. Vanachiremba vanokurudzira zvakasimba kuti kana zviratidzo zvekutanga zvekuzvidya mwoyo zvichionekwa, bvunza unyanzvi, uongororwe uye utore nzira yekurapa.